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Revista Brasileira de Odontologia最新文献

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Adhesion capacity of bioceramic and resin-based root canal sealer to root dentin: an integrative review 生物陶瓷和树脂基根管密封剂对根本质的粘附能力综述
Pub Date : 2020-01-01 DOI: 10.18363/rbo.v77.2020.e1758
Carolyne de Pinho Quintão, S. Costa, M. Lacerda, C. Girelli, C. D. de Lima
Objective: to compare the adhesion capacity of the bioceramic EndoSequence BC sealer and the AH Plus sealer through an integrative review. Material and Methods: the Medline/PubMed, Scopus, Web of Science and Virtual Health Library (VHL) online databases were used for the literature review. Eligibility criteria comprised articles available in full on the researched databases, in English, and content addressing Endosequence BC sealer adhesion compared to AH Plus sealer. Results: a total of 45 articles were found. After duplicate removal, 22 articles were selected. After reading the abstracts, full texts and applying the inclusion criteria, eight articles in total were included in the present study. Concerning the adhesion capacity of the tested cements, the AH Plus was reported as presenting better adhesion than the BC sealer in three articles, and less adhesion in two articles. Similar adherence strength was observed between groups in three studies. Conclusions: based on the included studies, the AH Plus displays greater bond strength when compared to the BC Sealer.
目的:通过综合评价比较生物陶瓷EndoSequence BC缝合器和AH Plus缝合器的粘附能力。材料与方法:采用Medline/PubMed、Scopus、Web of Science和Virtual Health Library (VHL)在线数据库进行文献综述。资格标准包括可在研究数据库上获得的全部文章,英文,以及与AH Plus封口剂相比解决Endosequence BC封口剂粘附性的内容。结果:共发现文献45篇。去除重复后,选取22篇。在阅读摘要、全文并应用纳入标准后,本研究共纳入8篇文章。关于所测试水泥的粘附能力,有三篇文章报道了AH Plus比BC密封剂具有更好的粘附性,有两篇文章报道了较差的粘附性。在三项研究中,观察到各组之间的粘附强度相似。结论:根据纳入的研究,与BC Sealer相比,AH Plus显示出更大的粘合强度。
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引用次数: 1
Current Considerations for Dental Ceramics and Their Respective Union Systems 目前对牙科陶瓷及其各自结合系统的考虑
Pub Date : 2020-01-01 DOI: 10.18363/rbo.v77.2020.e1768
J. Matos, L. Nakano, M. Bottino, Ricardo Huver de Jesus, Lucas Campagnaro Maciel
Objective: to evaluate the main characteristics of dental ceramics, resin cements, surface treatments and verification of their failure modes, in relation to the literature and their respective clinical uses. Material and Methods: a bibliographic search was conducted in the main health databases PUBMED (www.pubmed.gov) and Scholar Google (www.scholar.google.com.br), in which studies published from 2002 to 2020 were collected. Laboratory studies, case reports, systematic and literature reviews, which were developed in living individuals, were included. Therefore, articles that did not deal with the main characteristics of dental ceramics, resin cements, surface treatments and verification of their failure modes, in relation to the literature and their respective clinical uses were excluded. Results: ceramics can be classified into glass-matrix ceramics, polycrystalline ceramics and hybrid ceramics. Just as there are different compositions of ceramics and bonding agents, there are also some surface treatment protocols that vary according to the choice of these materials. Conclusion: several ceramic systems are available, making professionals in the prosthetic area need a constant update about their properties and indications, since good results are not due exclusively to the type of material used, but also to the selection of the best material, type of preparation, professional’s skill, resin cements, surface treatments and verification of their failure modes. In this context, further studies are needed in relation to dental ceramics and their proper clinical use.
目的:结合文献及临床应用,评价牙陶瓷、树脂胶合剂的主要特点、表面处理方法及失效模式的验证。材料和方法:在主要卫生数据库PUBMED (www.pubmed.gov)和Scholar谷歌(www.scholar.google.com.br)中进行书目检索,收集2002年至2020年发表的研究。包括在世个体的实验室研究、病例报告、系统和文献综述。因此,不涉及牙科陶瓷、树脂水泥的主要特性、表面处理及其失效模式验证的文献及其临床应用的文章被排除。结果:陶瓷可分为玻璃基陶瓷、多晶陶瓷和杂化陶瓷。正如有不同的陶瓷和粘合剂组成,也有一些表面处理方案,根据这些材料的选择而变化。结论:有几种陶瓷系统可用,使得假肢领域的专业人员需要不断更新其性能和适应症,因为良好的效果不仅取决于所使用的材料类型,还取决于最佳材料的选择、制备类型、专业人员的技能、树脂水泥、表面处理和失效模式的验证。在此背景下,需要进一步研究牙科陶瓷及其临床应用。
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引用次数: 6
Esthetics with a Minimal Intervention Aided by an Accessible Technology 无障碍技术辅助下的最小干预美学
Pub Date : 2020-01-01 DOI: 10.18363/rbo.v77.2020.e1801
Sayene Garcia Batista, J. S. Brooks, I. Tuñas
Objective: the purpose of this paper, based on a literature review, is to relate a clinical case in which the correct diagnosis, planning and conservative, restorative and esthetic treatment in the anterior maxillary region was executed. In addition, this paper recognizes the value of the use of photographs obtained with a smartphone in the planning and completion of this case. Materials and Methods: a bibliographic search was done in PUBMed and Scielo databases, with the terms (dental esthetics) AND (composite resin OR composite resins) AND (anterior teeth) AND (anterior teeth) AND (Microdontia) AND (Dental Esthetics) AND (Composite resin) OR (Composite Resins) AND (Anterior Teeth) AND (Digital Photography or Digital Photographs). A total of 44 papers relevant to the topic were chosen, in their complete versions. Results: in respecting biological principles along with the philosophy of a minimally invasive approach, rehabilitation was successful in restoring both function and esthetics, in order to promote a more harmonious smile. Conclusion: the possibility of reproducing natural teeth artistically with composite resin, the chosen direct restorative material, represents a simple, satisfactory and reversible alternative as a solution to anomalies and deviations from dental forms. Photographs aid in making the patient more receptive to treatment and the disclosure of the final results.
目的:在文献回顾的基础上,回顾一例上颌前区正确诊断、规划、保守、修复和美观治疗的临床病例。此外,本文认识到在规划和完成本案例中使用智能手机获得的照片的价值。材料和方法:在PUBMed和Scielo数据库中进行书目检索,检索词为(牙科美学)、(复合树脂或复合树脂)、(前牙)、(前牙)、(小齿)、(牙科美学)、(复合树脂)或(复合树脂)、(前牙)和(数码摄影或数码照片)。总共选择了44篇与该主题相关的论文,其完整版本。结果:在尊重生物学原理和微创方法的哲学下,康复成功地恢复了功能和美学,从而促进了更和谐的微笑。结论:所选择的直接修复材料复合树脂是一种简单、满意、可逆的修复材料,是修复牙体畸形和牙体偏离的一种方法。照片有助于使病人更容易接受治疗和披露最终结果。
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引用次数: 0
Effect of High-Fluoride Dentifrice on the Enamel Demineralization Related in Concern to Microhardness 高氟牙膏对显微硬度相关牙釉质脱矿的影响
Pub Date : 2020-01-01 DOI: 10.18363/rbo.v77.2020.e1783
T. Vidinha, Andre Cardoso, C. Queiróz
Objective: to evaluate the effectiveness of high-fluoride dentifrice in decreasing the process of enamel demineralization. Material and Methods: thirty samples of bovine enamel were confectioned, sanded, polished and tested for determining their initial Knoop hardness. The samples were randomly divided into 3 groups: PD – Placebo Dentifrice, CD – Conventional Dentifrice (1450 ppmF) and HFD – High-Fluoride Dentifrice (5000 ppmF). To evaluate the dynamic process of demineralization, each group was subjected to pH cycling with demineralizing and remineralizing solutions. The samples were immersed for 6 and 18 hours respectively in those solutions for 5 days at 98.6oF. The dentifrice corresponding to each group was diluted (1:3) and the samples were treated for 1 minute, twice a day. After cycling, a final microhardness analysis was performed, using ANOVA and Tukey's test (p<0.05). Results: the results showed that the hardness of the final HFD (247.4±39.4) compared to CD (211.9±53.5) showed no statistical difference (p≤0.05). Conclusion: according to the results, it can be suggested that the high concentration of fluoride in dentifrice exhibited superior results in inhibition of enamel demineralization process than conventional dentifrice.
目的:评价高氟牙液对牙釉质脱矿的抑制作用。材料和方法:将30个牛牙釉质样品配制、打磨、抛光并测试以确定其初始努氏硬度。将样品随机分为3组:PD -安慰剂牙膏组、CD -常规牙膏组(1450 ppmF)和HFD -高氟牙膏组(5000 ppmF)。为了评价脱矿的动态过程,对各组进行脱矿和再矿溶液的pH循环。样品在98.6℉的温度下分别浸泡6小时和18小时5天。各组对应的牙膏按1:3稀释,处理1分钟,每天2次。循环结束后,采用方差分析和Tukey检验(p<0.05)进行显微硬度分析。结果:最终HFD硬度(247.4±39.4)与CD硬度(211.9±53.5)比较,差异无统计学意义(p≤0.05)。结论:高氟牙液对牙釉质脱矿的抑制效果优于普通牙液。
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引用次数: 0
Influence of Acid Etching on Bond Strength Between Feldspathic Ceramics and Resin Cement 酸蚀对长石陶瓷与树脂水泥粘结强度的影响
Pub Date : 2020-01-01 DOI: 10.18363/rbo.v77.2020.e1769
Ricardo Huver de Jesus, Bianca Colombi Furlam, Camila Maciel Martinusse, Hiorrana Carla Vasconcelos Inácio, J. Matos, L. Nakano, L. P. Ortiz, M. Bottino, Lucas Campagnaro Maciel
Objective: analyze the influence of bond strength between resin cement and feldspathic ceramics using different concentrations and application times of hydrofluoric acid (HF). Materials and Methods: 18 feldspathic ceramic discs (Ø10mm 2mm thickness) were made through the incremental technique, which were included in acrylic resin and regularized with silicon carbide sandpaper with granulations of 600, 1200 and 2000 through a polishing machine with a speed of 600 rpm. Soon after, they were immersed in distilled water for 10 minutes in an ultrasonic bath. All specimens were conditioned with HF and silanized. Four cement cylinders were made on each specimen (n=12), manufactured with Relyx ARC resin cement. After that, it was divided into six groups according to the surface treatment protocol: G1 (5% 40s); G2 (5% 60s); G3 (5% 80s); G4 (10% 40s); G5 (10% 60s) e G6 (10% 80s). The specimens were subjected to the Microshear Test, with vertical force at a speed of 0.5 mm min on the specimen. The microshear bond strength was calculated and expressed in Megapascal (MPa). The data were submitted to two-way analysis of variance (ANOVA) and Tukey’s test for multiple comparisons, with a significance level of 5%. Results: when the concentration of HF was analyzed, there were no statistical differences (p>0.05). In the comparison of application times, G3 (5% 80s) and G6 (10% 80s) obtained higher results of microshear resistance than the other groups. Conclusion: The different concentrations of HF did not influence the bond strength between feldspathic ceramics and resin cement. However, the increase in the time of HF conditioning affected in the bond strength.
目的:分析氢氟酸(HF)不同浓度和施药次数对树脂水泥与长石陶瓷粘结强度的影响。材料与方法:采用增量法制备长石陶瓷片18块(Ø10mm 2mm厚度),包入丙烯酸树脂中,用600、1200、2000粒级的碳化硅砂纸经600转/分的抛光机进行正规化。不久之后,他们在超声波浴中浸泡蒸馏水10分钟。所有标本均经HF和硅化处理。每个试件上制作4个水泥柱(n=12),采用Relyx ARC树脂水泥制成。之后按表面处理方案分为6组:G1组(5% 40s);G2 (5% 60s);G3 (5% 80s);G4 (10% 40s);G5 (10% 60s)和G6 (10% 80s)。试件进行微剪切试验,竖向力的作用速度为0.5 mm min。计算微剪切强度,单位为兆帕斯卡(MPa)。数据进行双向方差分析(ANOVA)和多重比较的Tukey检验,显著性水平为5%。结果:两组间HF浓度比较,差异无统计学意义(p < 0.05)。在施用次数的比较中,G3 (5% 80s)和G6 (10% 80s)的抗微剪效果高于其他各组。结论:不同浓度的HF对长石陶瓷与树脂水泥的粘结强度没有影响。但随着HF调理时间的增加,粘结强度受到影响。
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引用次数: 3
Contribution of the Multidisciplinary Approach to Open Bite in Patients 多学科方法对患者开咬的贡献
Pub Date : 2020-01-01 DOI: 10.18363/rbo.v77.2020.e1773
Luciana Thaís Rangel Souza, J. Maia, Lorena Gonçalves Cardoso, M. Sampaio, Diego Assis Santos Mota, A. M. G. Lessa
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引用次数: 0
Evaluation of single visit endodontic treatment and non-surgical retreatment with foraminal enlargment of teeth with apical periodontitis ? 根尖牙周炎椎间孔扩大患者单次根管治疗与非手术治疗的疗效评价?
Pub Date : 2020-01-01 DOI: 10.18363/rbo.v76.2019.e1484
M. Bourreau, M. Frozoni, Marília Jesus Batista de Brito Mota, A. Zaia, C. D. de Lima, M. do Prado, A. J. Soares
Objective: to evaluate the root canal treatment (RCT) and non-surgical root canal retreatment (NSRCR), associated with foraminal enlargement, performed on a singlevisit. Material and Methods: 125 teeth with apical periodontitis and follow-up period ranging from 6 to 12 months were included. The success was considered by the absence of signs and symptoms and complete or incomplete periapical repair. Logistic regression analyses were used to identify factors associated with the repair (p<0.05). Results: RCT showed 71.58% of complete healing and 23.16% of acceptable healing. NSRCR showed 80% of complete healing and 20% of acceptable healing. Age, gender, type of treatment and preoperative pain were not statistically significant for the healing process (p>0.05). Premolars showed the greatest chance of periapical repair. Pulp Canal Sealer showed a greater chance of periapical repair when compared to Sealapex (p<0.05). Conclusion: RCT and NSRCR using a foraminal enlargement protocol provided a favorable prognosis of periapical healing.
目的:评价与椎间孔扩大相关的单次根管治疗(RCT)和非手术根管再治疗(NSRCR)。材料与方法:125颗根尖牙周炎患者,随访6 ~ 12个月。成功的标准是无症状和体征,根尖周围修复完全或不完全。采用Logistic回归分析确定与修复相关的因素(p0.05)。前磨牙根尖周修复的机会最大。与Sealapex相比,髓管Sealer的根尖周修复机会更大(p<0.05)。结论:采用椎间孔扩大方案的RCT和NSRCR提供了良好的根尖周围愈合预后。
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引用次数: 0
Tratamento Restaurador Atraumático: evolução do conhecimento e aceitação entre Cirurgiões-Dentistas da Estratégia Saúde da Família de Ponta Grossa - Paraná, Brasil ao longo de 5 anos 创伤后恢复性治疗:5年来牙医对巴西蓬塔格罗萨-巴拉那家庭健康战略的认识和接受程度的演变
Pub Date : 2019-12-30 DOI: 10.18363/rbo.v76.2019.e1466
Alessandra de Souza Martins, A. C. Rodrigues Chibinski, Mayara Vitorino Gevert, Milena Correa Da Luz, Denise Stadler Wambier
Objective: this study evaluated the possible modifications in the theoretical / technical knowledge and the acceptance of the atraumatic restorative technique (ART) among Doctor of Dental Surgery (DDS) of the Family Health Strategy (FHS) of Ponta Grossa – PR, Brazil over 5 years. Material and Methods: for this purpose two instruments were used: in-depth interviews and semi-structured questionnaires, applied to the same group of 14 DDS that work at the FHS. During this period of time, there were moments of empowerment offered by the Health Department of the Municipality and State Health Secretariat. Results: the DDS affirmed, in the two stages of the research, to know the ART and they considered it useful in Public Health, making use of atraumatic restorations (AR) routinely. There were modifications in the perceptions regarding the definitive nature of AR; in the indication of the technique according to the characteristic of the carious lesion and according to the age of the patient; in the use of polyacrylic acid and protective agents for glass ionomer cement (GIC), among others. In addition, dentists have come to recognize GIC as essential material for the technique and to accept the maintenance of carious dentin. There was a change in the habit of scientific reading about ART among the evaluated professionals, in addition to the increase in the number of individuals who received ART training in the service. Conclusion: we can conclude that there were positive changes in the theoretical/Technical knowledge and acceptance of the ART technique among the professionals interviewed, thus acknowledging the importance of the training offered in the service.
目的:本研究评估了5年来巴西蓬塔格罗萨省家庭健康战略(FHS)牙科外科医生对无创伤修复技术(ART)的理论/技术知识和接受程度的可能修改。材料和方法:为此,使用了两种工具:深度访谈和半结构化问卷,应用于在FHS工作的同一组14名DDS。在这段时间里,市卫生部和州卫生秘书处提供了一些赋权的时刻。结果:在研究的两个阶段,DDS确认了解ART,并认为它在公共卫生中有用,常规使用无创伤修复体(AR)。对AR的决定性性质的看法有所改变;根据隆突病变的特征和患者的年龄来确定技术的适应症;在聚丙烯酸和用于玻璃离聚物水泥(GIC)的保护剂的使用中。此外,牙医们已经认识到GIC是该技术的基本材料,并接受龋坏牙本质的维护。除了在该服务中接受抗逆转录病毒治疗培训的人数增加外,接受评估的专业人员对科学阅读抗逆转录病毒疗法的习惯也发生了变化。结论:我们可以得出结论,在接受采访的专业人员中,理论/技术知识和对ART技术的接受程度发生了积极的变化,从而承认了在服务中提供培训的重要性。
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引用次数: 0
Correlação entre ansiedade e depressão em pacientes com disfunção temporomandibular 颞下颌紊乱患者焦虑与抑郁的相关性
Pub Date : 2019-12-30 DOI: 10.18363/RBO.V76.2019.E1474
C. M. Lima, J. Martins, Julia Henriques Lamarca dos Lamarca, Letícia Palla Nunes, J. C. G. Faria, Anamaria Pessoa Pereira Leite, Fabíola Pessôa Pereira Leite
Objective: to evaluate the correlation between anxiety and depression in the presence of Temporomandibular Dysfunction. Material and Methods: sixty patients attended at the TMJ Service of the Dental School of the Federal University of Juiz de Fora, located in the city of Juiz de Fora/Minas Gerais, Brazil, participated in the study. Of these sixty, thirty had diagnoses of temporomandibular disorder from the Research Diagnostic Criteria for Temporomandibular Disorder, and thirty did not have a diagnosis of dysfunction. All participants answered the Hospital Anxiety and Depression Scale questionnaires and the Beck Anxiety Inventory. The data obtained were analyzed using the Statistical Package for the Social Science 14.0 program with the Chi-square test and a significance level of 5% (p<0.05). Results: there was a significant correlation between the parameters gender (p=0.024), mean age (p=0.033), presence of temporomandibular disorder (p=0.034) and the anxiety variable. As for the variable depression, there was a significant correlation for the diagnosis of temporomandibular disorder (p=0.029), and a non-significant correlation for gender (p=0.608) and mean age (p=0.175). Conclusion: there is a relationship between psychological and psychosocial factors, such as anxiety and depression with temporomandibular disorders
目的:探讨颞下颌功能障碍患者焦虑与抑郁的关系。材料和方法:60名患者参加了位于巴西Juiz de Fora/Minas Gerais市Juiz de Fora联邦大学牙科学院TMJ服务。在这60人中,30人根据颞下颌紊乱的研究诊断标准被诊断为颞下颌紊乱,30人没有被诊断为功能障碍。所有的参与者都回答了医院焦虑和抑郁量表和贝克焦虑量表。使用Social Science 14.0程序的Statistical Package进行数据分析,采用卡方检验,显著性水平为5% (p<0.05)。结果:性别(p=0.024)、平均年龄(p=0.033)、颞下颌紊乱(p=0.034)与焦虑变量存在显著相关。抑郁变量与颞下颌障碍的诊断有显著相关性(p=0.029),与性别(p=0.608)和平均年龄(p=0.175)无显著相关性。结论:焦虑、抑郁等心理社会因素与颞下颌障碍存在一定的关系
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引用次数: 0
Análise histomorfométrica do tecido conjuntivo removido do palato, pela técnica de harris (lâmina dupla) harris技术(双刀片)切除腭结缔组织的组织形态计量学分析
Pub Date : 2019-12-30 DOI: 10.18363/RBO.V76.2019.E1430
V. T. Maia, A. Balduíno, S. Kahn
Objetivo: o objetivo deste trabalho foi realizar uma analise histomorfometrica do tecido conjuntivo retirado do palato pela tecnica de Harris (lâmina dupla). Material e Metodos: foram submetidos a cirurgia de recobrimento radicular, 14 pacientes entre homens e mulheres, de 25 a 50 anos de idade, com recessoes gengivais classes I e II de Miller. Resultados: o tecido epitelial e o tecido conjuntivo foram processados separadamente. Um total de 11 amostras foram obtidas, sendo 2 excluidas por nao conceber os pre-requisitos e 1 nao foi possivel obter resultado. Para avaliarmos a real separacao entre os dois tecidos, avaliamos os cortes histologicos dos tecidos conjuntivos da mucosa oral em busca da presenca ou nao de tecido epitelial. Observamos que 06 (seis) amostras nao apresentaram restos de tecido epitelial, 05 (cinco) apresentaram restos de tecido epitelial em uma fracao da superficie do tecido conjuntivo, sendo que 2 (duas) apresentaram restos de tecido epitelial ao longo de quase toda a extensao do tecido conjuntivo. Conclusao: podemos concluir que nem sempre ha total eliminacao do tecido epitelial apos a remocao de enxerto de tecido conjuntivo subepitelial pela tecnica de Harris com utilizacao de bisturi de lâmina dupla.
目的:本研究的目的是对Harris技术(双刀片)从腭上切除的结缔组织进行组织形态计量学分析。材料和方法:对14名年龄在25至50岁之间的男性和女性患者进行牙根覆盖手术,他们患有Miller I级和II级牙龈凹陷。结果:上皮组织和结缔组织被分别处理。总共获得了11个样本,其中2个因没有构思先决条件而被排除在外,1个无法获得结果。为了评估这两种组织之间的实际分离,我们评估了口腔粘膜结缔组织的组织学切片,以寻找上皮组织的存在或不存在。我们观察到,06(6)个样本没有出现上皮组织残留,05(5)个样本在结缔组织表面的一部分出现上皮组织残余,2(2)个样本几乎在所有结缔组织延伸处都出现了上皮组织残余。结论:用双刀Harris技术切除上皮下结缔组织移植物后,上皮组织并不总是完全清除。
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引用次数: 0
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Revista Brasileira de Odontologia
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